Dominguez, Troy E

Dominguez, Troy E is an individual health care provider with primary practice located at 15 York St , New Haven CT 06510-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Dominguez, Troy E can be contacted via phone (203) 785-4651.

Contact Information

Primary practice address
15 York St New Haven CT 06510-3221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 62058 Connecticut

Profile Details

NPI number 1407867096
LBN Legal business name Dominguez, Troy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407867096 NPPES
Pennsylvania MEDICAID 0017511920

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